SERGIO SOTO, MD
Cardiovascular Disease Physician · PRESCOTT VALLEY, AZ
Individual Active NPI 1942204854
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 921 | 2,271 | $368,874 | $181,835 | $128,290 |
| 2023 | 1,046 | 2,813 | $403,371 | $218,232 | $153,467 |
| 2022 | 930 | 2,742 | $418,938 | $220,843 | $152,733 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,033 | $124 | $86 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 403 | $14 | $10 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 165 | $65 | $49 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 119 | $13 | $10 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 117 | $72 | $54 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 89 | $20 | $15 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 84 | $36 | $27 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 77 | $161 | $110 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 61 | $87 | $65 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 30 | $24 | $19 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 18 | $55 | $36 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 12 | $24 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 37164 | AZ |
| Cardiovascular Disease Physician | 207RC0000X | 2003-0507 | NM |
Medicare eligibility
- Part B
- No
- DME
- Yes
- Home health
- No
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.